Provider Demographics
NPI:1144373911
Name:BOWMAN, CAROL L (MD)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:L
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9114 PHILADELPHIA RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-4345
Mailing Address - Country:US
Mailing Address - Phone:410-918-0777
Mailing Address - Fax:410-369-1707
Practice Address - Street 1:3445 E BOX HILL CORPORATE CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009
Practice Address - Country:US
Practice Address - Phone:410-515-3500
Practice Address - Fax:410-515-2504
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2009-05-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0042934207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDF68653Medicare UPIN
MD705MH895Medicare PIN